Happy Anniversary!

Our youngest and her husbands’ first anniversary!

Congrats to you both, from all of us.

33 Charts — medicine. health. social media.

Well put!

After a recent presentation on social physicians, someone asked why there were so many emergency medicine physicians on blogs and social media?  Good question.  From content to conversation, ER docs are heavily represented in public spaces.  And it’s as much about passion and participation as raw numbers on any given platform.

What is it about emergency medicine physicians that has lead them to flex their muscles and reach out beyond the confines of their emergency centers?

via 33 Charts — medicine. health. social media..

Yrs. Trly. gets a mention.

You Can’t Yelp Your Doctor – The Daily Beast

Some of the country’s best doctors have the worst patient satisfaction scores. Here’s why.Part of being a doctor is learning to suppress your feelings. You get good at being what people need you to be. But it slowly transforms you into something you couldn’t have foreseen—a sort of Stepford doctor—pleasing everyone with your perfect smile and agreeable demeanor, hoping that your patient satisfaction survey will be favorable, no matter the cost.

Press Ganey is one of the top providers of patient satisfaction surveys, according to the Forbes article, Why Rating Your Doctor Is Bad For Your Health.The government has bet big on these surveys, as a recent article in Forbesnotes. Armed with the idea that “patient is always right,” Washington figured that more customer satisfaction data “will improve quality of care and reduce costs.”

That turns out to have been a bad bet.

via The Mask Your Doctor Hides Behind – The Daily Beast.

Read the whole thing, but it’s what your doctors, especially the hospital based ones, have been saying since day 1.

Squirrel season

It’s on. Three shots, three hits, 40 yards.
Air rifle is a TalonSS made by AirForce AirGuns right here in Fort Worth, Texas!

20140518-181748.jpg

They were filled with water only, I’m not a barbarian.

Google Glass handed out to medical students at UC Irvine – CNET

I have a question.

The fledgling Google Glass is slowly working its way into the mainstream, and one place that people should get used to seeing the device is in hospitals.

Several medical institutions have already been testing the computer-enabled eyeglasses to see if the devices enhance doctors’ work. But the School of Medicine at the University of California, Irvine, is taking it one step further by issuing Google Glass to its students.

Irvine will be the first medical school to fully incorporate Glass into its four-year curriculum. Its first- and second-year students will use the device in their anatomy and clinical skills courses, while third- and fourth-year students will wear Glass during their hospital rotations.

via Google Glass handed out to medical students at UC Irvine – CNET.

Will the students be tested with the same Glass they were allowed to use while studying? I have concerns this would be a four year training session for Glass, not actually learning so they could go without it. (As opposed to their smartphones, I realize).+

Report a Litterer | Don’t mess with Texas

Drive safely while collecting that information!

Even after more than 25 years of the Don’t mess with Texas® campaign, litterbugs still roam the roadways, tossing trash from their car windows and letting litter fly out of their truck beds. We’re talking about cigarette butts, fast food wrappers, and the like. They’re small, but they’re still trash.

via Report a Litterer | Don’t mess with Texas.

Department of Health And Human Services Threatens Blogger Over Satirical Posts | Popehat

Your tax dollars in action. Threats against satirical bloggers.

The blog Addiction Myth is devoted to a very out-of-the-mainstream proposition about medicine: that the entire concept of drug and alcohol addiction is a scam perpetrated by law enforcement, rehab groups, and the entertainment industry. By contrast, the United States Department of Health and Human Services is devoted to mainstream medical and scientific propositions1 It is perhaps inevitable that these two worldviews would conflict one day.But it was not inevitable that HHS’s Office of General Counsel would bumptiously threaten Addiction Myth over obviously satirical posts. That, given minimal good sense, could have been avoided.

via Department of Health And Human Services Threatens Blogger Over Satirical Posts | Popehat.

Police: Woman drives wounded abductor to Fort Worth hospital | Breaking News | News from…

She’s nicer than I would have been…

FORT WORTH — A man being treated for a self-inflicted gunshot wound Monday morning was arrested and will be charged with aggravated assault with a deadly weapon, an official said.

Fort Worth police did not release the man’s name, but spokeswoman Sharron Neal said that he was brought to Texas Health Harris Methodist Hospital Fort Worth by a woman he was trying to abduct when he accidentally shot himself in the arm.

via Police: Woman drives wounded abductor to Fort Worth hospital | Breaking News | News from….

Healthcare Reform Update: Doc employment won’t lead to lower healthcare spending, research shows | Modern Healthcare

You don’t say.

Market share and prices tend to climb among hospitals that employ doctors but not for hospitals with looser contracts with independent physicians, according to newly published research. The findings, the authors say, suggest that integration itself does not produce the savings that many health system executives and policymakers promise from closer coordination between hospitals and doctors.

Hospital prices, according to the study, increased 2% to 3% each time physician-employing hospitals’ market share increased by one standard-deviation. The results were drawn from an analysis of roughly 2 million hospital bills submitted to private insurers between 2001 and 2007. Overall spending on services at the hospitals that employed physicians grew, while the utilization of services at those hospitals didn’t change.

via Healthcare Reform Update: Doc employment won’t lead to lower healthcare spending, research shows | Modern Healthcare.

All Trials | All Trials Registered. All Results Reported

Many thanks to Steve in the comments on the last post for alerting me to this movement:

It’s time all clinical trial results are reported.

Patients, researchers, pharmacists, doctors and regulators everywhere will benefit from publication of clinical trial results. Wherever you are in the world please sign the petition:

Thousands of clinical trials have not reported their results; some have not even been registered.

Information on what was done and what was found in these trials could be lost forever to doctors and researchers, leading to bad treatment decisions, missed opportunities for good medicine, and trials being repeated.

All trials past and present should be registered, and the full methods and the results reported.

We call on governments, regulators and research bodies to implement measures to achieve this.

via All Trials | All Trials Registered. All Results Reported.

I signed the petition, and hope others will as well.

Realistically, this will require either a mindboggling scandal (even worse than the ones we know about) leading to group self-regulation, or more likely, intrusive and poorly thought out legislation.

I know what I’d bet on.

What the Tamiflu saga tells us about drug trials and big pharma | Business | The Guardian

Hint: Roche stinks, and the Cochrane Collaboration has done all of us a huge favor. Time to stop prescribing Tamiflu.

What the Tamiflu saga tells us about drug trials and big pharmaWe now know the government’s Tamiflu stockpile wouldn’t have done us much good in the event of a flu epidemic. But the secrecy surrounding clinical trials means there’s a lot we don’t know about other medicines we take

via What the Tamiflu saga tells us about drug trials and big pharma | Business | The Guardian.

Craig Breedlove land speed project – Autoweek

Craig Breedlove land speed project – Autoweek.

 

Cool project. My brother, the AerospaceGenius, is interviewed.

 

They need one of these crowdsource funding thingos.

GruntDoc’s blog turns 12

12 years ago I was in Midland, Texas. At the urging of my still good friend Rick I started a blog that’s been continuous since then. Not terribly interesting or well maintained, but it has staying power.

It has survived a series of moves to Fort Worth, the new job (also going on 12 years), children graduating college, grad schools (one mine), two grandkids, about 10 cars (family wide), my getting older and maybe a touch wiser, some professional advancement, two marriages (kids)(My kids marrying others, weirdos), a tractor, about a zillion in home improvement, a about that many ER shifts.

It’s been a pleasure to share a tiny slice of it with you. The days of a lot of blog followers are over (not writing regularly will do that), but I appreciate most of the comments and everyone who reads this missive.

 

Thanks.

 

Navy Matters: A-10 Scrapping Justification Exposed

Please click through and read the whole thing. Something I hadn’t considered.

This is a Navy blog but I just can’t pass on the following Air Force item especially since it indirectly impacts Marine and Navy CAS.

DoD Buzz website quotes Air Force Gen. Mark Welsh as saying that scrapping the A-10 will save $4.2B over five years (1).  This apparently is the Air Force’s justification for letting the A-10 go.  Of course, the real justification is preserving the Air Force’s buy of F-35’s.  Be that as it may …

Let’s check that cost savings number out, shall we?

via Navy Matters: A-10 Scrapping Justification Exposed.

Great moments in advertizing

RHD Escalade

Behold, the right hand drive Cadillac Escalade!

Thanks to Jerry’s Cadillac in Weatherford for the chuckle.